The Black River
Local Schools
Food Allergy Policy
DISTRICT-WIDE PLAN
This plan was developed with the assistance and expertise of:
Donna Young, LPN, COHC
Pat Dieter, Community Education Director
Nina Gobora, Transportation Director
Mary Beth Schall, Parent, PTO Vice President
Jen Beswick, High School Cook, Parent
Kristine Mennell, Brec Cook, Parent
Joanne Meredith, Parent, Volunteer
Bonnie Cooper, Food Services Director
Revised 2/17/2016
The Black River Local Schools Food Allergy Policy and Regulations
Black River Board of Education recognizes the increasing prevalence of
potentially life-threatening food allergies among children. By working
together, school personnel, students, parents and physicians can effectively
reduce the risk of accidental exposure to foods in the school setting, thus
providing a safe educational environment for students with food allergies.
Identification
Identifying students with severe allergies is the first step in the process of
developing a plan. Students need to be identified through school registration
by providing a doctor’s note, listing on the student’s emergency medical form,
and communication from families. Identification can aid in proper planning for
the school year and allow the school personnel to be educated, trained and
prepared for the entrance of the student on the first day of school.
Individualized Health Care Plans
After the school has identified (by a doctor) the students with life-threatening
allergies, an Allergy Action Plan needs to be written. The school nurse and
other key personnel will meet with the parents and develop a plan that is unique
to the child and his/her specific allergies. The plan includes the student’s
name, photograph, specific allergies, warning signs of reactions and treatment.
Location of medication and epinephrine injectors (EpiPen) should also be
included. Access to these life saving devices should be considered at all times.
The Allergy Action Plan needs to be considered for all situations in the school
setting. This would include the cafeteria, recess, field trips and bus rides. All
staff that has responsibility for the student with life-threatening allergies,
during the student day, should have a copy of the Allergy Action Plan.
Revised 2/17/2016
Prevention and Implementation
One of the key elements in a district is prevention. Preventing exposure to the
deadly allergen is very difficult in some cases but very important. After
identifying the student’s allergy (by a doctor) and writing an Allergy Action
Plan, prevention measures should be evaluated and implemented. The most
important prevention is to strive for an allergen free classroom. Other allergen
free zones may be needed in the cafeteria, bus, libraries, art room, etc.
Promoting hand washing is another good preventative measure. Children in
elementary can be taught to wash their hands before and after eating in order to
promote healthy choices and keep the child with allergies safe. Other
preventative measures include:
 Effective sanitation measures. Proper washing of cafeteria tables, food
preparation areas and classroom areas.
 Provide an identified allergen-free table in the school cafeteria which is
thoroughly washed prior to the first lunch shift and in between lunch
shifts.
 Promoting safe practice among students should include no swapping or
sharing of food and no eating on buses, in libraries and other common
areas.
 Educating classmates to avoid endangering, isolating, stigmatizing or
harassing students with food allergies.
 Identify eating pals before class goes to lunch.
 Alerting parents whose children are in the same class with the food
allergic student. Instructing them about contamination and allergen free
classrooms.

Advance notice will be given to parents of upcoming classroom
celebrations, field trips, class trips, or any other events where food
will be present, giving parents the opportunity to provide food or
verify the safety of food being served to the food allergic student/s.
 Students and staff who have been in contact with an allergen student
to wash thoroughly before resuming contact with the allergic student.
Revised 2/17/2016
Family Responsibility
Parents of students with life threatening allergies must provide a doctor’s
note with diagnosis, the completed Allergy Action Plan along with current
student photo to Black River Local School District. All Allergy Action Plans
must be completed and returned to the school within 14 days of the student
start date. A new Allergy Action Plan must be submitted annually, and
should be updated if any major changes occur to the food-allergic student. In
all schools in Black River, the principal/school administrator, and school
nurse shall ensure that all school employees and other adults – including but
not limited to, classroom teachers, encore teachers, aides, student teachers,
food service director, transportation director, athletic director, custodial
staff, community education director - who may be involved in the care of a
student diagnosed with severe food allergies are provided with copies of the
child’s Allergy Action Plan.
Provide School Nurse (419-736-2161 ext 403) with all necessary
documentation from the student’s health care provider.
Provide the Director of Food Services (419-736-3300 ext 109) with a
medical prescription from a medical provider to include the child’s diagnosis
and diet restrictions if a food substitution is necessary.
In the event Black River Local Schools cannot accommodate the severe food
allergic student’s allergy issue, the parent is there fore responsible for
providing all foods for their children on campus.
Medications must be provided in the original container and clearly marked
with the student name. Parents will replace medications upon expiration or
after use. Multiple current contact numbers should be kept on file and
updated as necessary, in case of emergency.
Notify coaches, volunteers, and supervisors in charge of before and after
school activities including extra-curricular activities involving the food
allergic student(s) and providing access to the proper medications.
Revised 2/17/2016
Parents should accompany students with severe food allergies, multiple food
allergies, or chronic diseases on field trips or out of district events. If parent
not available, provide an alternate family member to oversee medical needs.
Parents should educate their child in self-management of their food allergy
including safe and unsafe foods, strategies for avoiding exposure to unsafe
foods, symptoms of an allergic reactions, how and when to tell an adult that
they may be having an allergy related problem and how to read food labels.
If the parent of a student(s) is concerned about food allergies in the
classroom, the parent may provide their child’s teacher with a supply of safe
snacks for food related class celebrations, or other food related events, to
reduce the likelihood of accidental exposure.
Parents of students with severe food allergies or multiple food allergies may
be required to provide meals or snacks for their children. If parents are
uncertain about possible exposure allergy-causing foods, they should
provide meals or treats for their children.
Parents may provide appropriate, alternative supplies for science projects,
arts and craft materials, or other supplies as necessary.
Revised 2/17/2016
School Responsibility
Schools are public buildings and cannot be “allergen free”. The following
guidelines are to be followed to provide a safe learning environment for
students with severe food allergies. Black River cannot monitor products
sold at athletic events or special student sales, products brought for potlucks
or celebrations, or served on off-campus trips. Therefore, persons with
severe food allergies must carefully monitor their food in these situations.
Black River Local Schools will strive to instruct staff and faculty to
recognize symptoms of an allergic reaction and to respond as necessary. The
school district will provide anaphylaxis training prior to the beginning of
school, to all faculty, staff, coaches, and substitute staff. The administrator
of each department is responsible for coordinating and executing annual
training of their department staff.
A written action plan will be established by the school nurse in conjunction
with the parent, student, the student’s healthcare provider who has
documented the food allergy, and school personnel to be followed in the
event that an allergic student ingests, or believes he/she has ingested an
offending food. The school nurse shall instruct appropriate school personnel
regarding action plan. The plan will be reviewed annually and revised if
changes occur.
Coordinate with the school nurse to be sure medications are appropriately
stored, and be sure that an emergency kit is available that contains a
physician’s standing order for epinephrine. In states where regulations
permit, medications are kept in a easily accessible secure location central to
designated school personnel, not locked in cupboards or drawers. Students
will be allowed to carry their own epinephrine, after approval from the
student’s physician/clinic, parent and school nurse, and in accordance with
ORC 3313.718 Possession and use of epinephrine auto injector to treat
anaphylaxis.
Revised 2/17/2016
Be knowledgeable about and follow applicable federal laws including
American Disabilities Act (ADA), Individuals with Disabilities Education
Act (IDEA), Section 504 of the Rehabilitation Act of 1973, and Family
Educational Rights and Privacy Act (FERPA) and any state laws or district
policies.
School personnel will follow federal/state/district laws and regulations
regarding sharing medical information about the student.
All substitute staff (teachers, bus drivers, cooks, volunteers, and all other
necessary personnel) will be provided with substitute folders that are clearly
marked identifying the food allergic student, the food allergy, along with a
copy of the Allergy Action Plan needed for those students. They will sign a
form acknowledging receipt of information.
Advance notice will be given to parents of upcoming classroom celebrations,
field trips, or any other events where (should assume) food will be present,
giving parents the opportunity to provide food or verify the safety of food
being served to the food allergic student(s). Parents will be permitted to
attend any school function to monitor their child.
Include food-allergic students in school activities. Students should not be
excluded from school activities solely based on their allergy.
All staff will take threats or harassment against an allergic student seriously;
and must be reported to an administrator immediately, so that appropriate
disciplinary action may be taken.
Revised 2/17/2016
Cafeteria/Food Service Responsibilities
Provide appropriate food substitutions to comply with the Allergy Action
Plan that was agreed upon by the physician, parent and food services.
Participate in the school’s anaphylaxis training on how to recognize the
symptoms of an anaphylactic attack, how to respond to life threatening
allergic reactions and how to administer emergency medications.
Provide a food allergy avoidance list for egg, milk, soy, wheat, tree nut,
peanut allergies, and any other known food allergens. Train staff to identify
possible food allergens on food labels.
To provide procedures for handling food products with food allergens to
reduce opportunity for cross contamination.
Transportation Responsibilities
Attend training for all school bus drivers on recognizing symptoms of and
responding to life-threatening allergies.
Be knowledgeable about the child’s Allergy Action Plan, including
medication location for the allergic student and review regularly.
Maintain and enforce current law regarding no eating on school buses, with
exceptions only to accommodate students with special medical needs.
Have means of communications in an emergency.
Inform substitutes of the allergy and the location of the Allergy Action Plan.
Revised 2/17/2016
Student Responsibilities
 Black River has a food allergy/health and wellness plan. Students
should follow these recommended guidelines.
 Should not trade food with others.
 Should not eat anything with unknown ingredients or known to
contain any allergen.
 Proper hand washing before and after eating.
 Should notify an adult immediately if they eat something they believe
may contain the food to which they are allergic.
Black River School District has updated the Student Allergy Policy;
Parents of students with life threatening allergies must provide a doctor’s note with
diagnosis, the completed *Allergy Action Plan along with current student photo to Black
River Local School District. All Allergy Action Plans must be completed and returned to
the school within 14 days. A new Allergy Action Plan must be submitted annually, and
should be updated if any major changes occur to the food-allergic student. In all schools
in Black River, the principal/school administrator, and school nurse shall ensure that all
school employees and other adults – including but not limited to, classroom teachers,
encore teachers, aides, student teachers, food service director, transportation director,
athletic director, custodial staff, community education director - who may be involved in
the care of a student diagnosed with severe food allergies are provided with copies of the
child’s Allergy Action Plan.
If your student must carry an Epi-Pen on his/her person at all times you will need to
fill out an additional form.
*(forms available on website & nurses office)
Revised 2/17/2016